Priksa Kanthi Gastroenterologist Sadurunge Njupuk Painkiller
Deleng ing kabin obat apa wae lan sampeyan bakal nemokake NSAID (tamba anti-inflamasi non-steroid). NSAIDs, sing dipigunakaké kanggo nambani rasa sakit lan inflamasi, saéngga umumé kerep duwé lorong ing toko obat. Jebule, perawatan kudu dijupuk kanggo mesthekake yen wong ora sengaja njupuk NSAIDS akeh banget, utamane amarga bisa luwih gampang nggunakake obat sing luwih saka siji kanggo ngobati rasa nyuda lan mriyang saka flu utawa liyane penyakit.
Liyane kegunaan NSAIDs kalebu ngobati nyeri sirah, nyeri otot, cramps menstruasi lan ngilangi nyawa lan nyeri saben dinten.
Wong sing kena penyakit radang usus (IBD) ngalami nyeri lan nyeri kaya wong liya. Akeh wong sing ngalami rasa nyeri saben dina amarga kahanan ekstra usus kayata arthritis utawa efek samping obat kayata ngobati ngelu. Nanging, sawetara gastroenterologists nyaranake menawa pasien IBD padha adoh saka NSAIDs. Alesan: NSAIDs bisa nyebabake penyakit Crohn lan kolitis ulcerative.
Carane NSAIDs Work
NSAIDs bisa mblokir rong enzim tartamtu ing awak: cyclooxygenase-1 (COX-1) lan cyclooxygenase-2 (COX-2) . COX-1 nduweni peran ing sistem pencernaan lan COX-2 nduweni peran ing proses inflamasi. Fungsi COX-1 yaiku kanggo ngatur zat-zat sing disebut prostaglandin sing nglindhungi lapisan weteng saka asam sing bisa nyerna pangan.
Ing prostaglandin disintesis dening COX-2 ngetung proses inflamasi lan respon nyeri.
Apa artine iki yaiku nalika NSAIDs nyebabake siklus peradangan lan nyeri, uga nyebabake sistem pencernaan ilang sawetara zat pelindung normal. Iki bisa nyiptakake luwih akeh masalah kanggo wong sing wis duwe inflamasi, utawa potensial kanggo inflammation, ing saluran pencernaan.
NSAIDs lan Ulcers
Malah ing wong tanpa IBD, NSAIDs bisa nyumbang kanggo ulkus ing weteng lan bagian pisanan saka usus cilik ( duodenum ). NSAID bisa nimbulaké inflamasi lan ngobati perdarahan ing usus cilik. Sawetara spesialis pencernaan prihatin sing NSAID bisa nyebabake IBD metu saka remisi .
NSAIDs lan IBD
Panlitèn ngenani NSAIDs sing nyumbang marang gejala IBD yaiku bertentangan, nyipta kontroversi babagan panggunaan gastroenterolog. Kanggo kelas obat sing disebut inhibitor COX-2, saiki ora akeh bukti sing menehi efek marang wong IBD. Sawetara riset nuduhake yen NSAIDs mung bisa ndadekake persentase tartamtu saka wong IBD, nanging ora bisa ngerti sapa sing bakal kena pengaruh lan sing ora. Iku wis spekulasi sing nggunakake inhibitor COX-2, tinimbang obat sing loro COX-1 lan inhibitor COX-2, bisa uga digunaake kanthi ati-ati kanggo wong-wong sing IBD ana ing remisi.
Wong karo IBD kudu takon karo gastroenterologist sadurunge njupuk NSAIDs, malah sing kasedhiya ing counter. Sampeyan uga penting banget kanggo nggawe kabeh anggota tim kesehatan pasien weruh efek NSAID sing ana ing IBD.
Apa Sing Bisa Ibing Ibune
Wong sing duwe IBD sing nggoleki bantuan nyuda sing over-the-counter mungkin pengin nganggep acetaminophen.
Acetaminophen, didol ing sangisore jeneng merek, kalebu Tylenol, ora NSAID lan uga pilihan sing luwih apik kanggo wong IBD sing butuh reliever. Carane acetaminophen bisa nyegah nyeri ora bisa dimengerteni, nanging dianggep nyebabake nyebabake penciptaan prostaglandin.
Tansah pitakonake penambahan resep obat anyar, utamane sing digunakake kanggo ngatasi rasa nyeri. Ora saben profesional kesehatan weruh sambungan sing bisa nyebabake obat bisu lan IBD. Nalika wong karo IBD bakal ngalami operasi utawa prosedur, penting kanggo ngglosor gastroenterologist ing kanggo diskusi babagan relief pain kanggo nggawe sampeyan duwe informasi paling anyar babagan NSAIDs lan cara aplikasi kasebut kanggo sampeyan.
Ing ngisor iki minangka tabel NSAID sing kasedhiya dening resep utawa liwat counter. Iki ora kanthi dhaptar lengkap, supaya takon karo apoteker utawa dhokter kanggo keprungu babagan obatan tartamtu.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
| Jeneng merek | Jeneng umum |
| Advil, Excedrin IB, Genpril, Haltran, Ibuprin, Ibuprohm, Ibu-Tab, Midrin 200, Medipren, Midol IB, Motrin, Nuprin, Pamprin-IB, Rufen, Trendar | Ibuprofen |
| Aleve, Anaprox, Naprosyn | Naproxen Sodium |
| Amigesic, Anaflex 750, Marthritic, Mono-Gesic, Salflex, Salsitab, Disalcid | Salsalate |
| Anacin, Bayer, Bufferin, Ecotrin | Choline salicylate |
| Ansaid, Froben | Flurbiprofen Oral |
| Apo-Keto, Orudis, Oruvail, Rhodis | Ketoprofen |
| Apo-Sulin, Clinoril, Novo-Sundac | Sulindac |
| Aspergum, Genuine Bayer, Anak Bayer, Bufferin, Easprin, Ecotrin, Empirin, Genprin, Halfprin, Magnaprin, ZORprin | Aspirin |
| Butazolidin | Phenylbutazone |
| Cataflam, Voltaren | Diclofenac Systemic |
| DayPro | Oxaprozin |
| Dolobid | Diflunisal |
| Feldene, Novo-Pirocam, Nu-Pirox | Piroxicam |
| Indocin SR, Indocid, Novo-Methacin | Indomethacin |
| Lodine | Etodolac |
| Meclomen | Meclofenamate Sodium |
| Mobic | Meloxicam |
| Nalfon | Fenoprofen Kalsium |
| Ponstan, Ponstel | Meclofenamic acid |
| Relafen | Nabumetone |
| Tolectin | Sodium Tolmetin |
Sumber:
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